WO1991008785A1 - Procede et dispositif d'anesthesie - Google Patents
Procede et dispositif d'anesthesie Download PDFInfo
- Publication number
- WO1991008785A1 WO1991008785A1 PCT/US1990/007247 US9007247W WO9108785A1 WO 1991008785 A1 WO1991008785 A1 WO 1991008785A1 US 9007247 W US9007247 W US 9007247W WO 9108785 A1 WO9108785 A1 WO 9108785A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- catheter
- needle
- introducer
- set forth
- carrying means
- Prior art date
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/0102—Insertion or introduction using an inner stiffening member, e.g. stylet or push-rod
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3401—Puncturing needles for the peridural or subarachnoid space or the plexus, e.g. for anaesthesia
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Engineering & Computer Science (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- Veterinary Medicine (AREA)
- Pulmonology (AREA)
- Biophysics (AREA)
- Pathology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Hematology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
- Media Introduction/Drainage Providing Device (AREA)
Abstract
La présente invention se rapporte à des procédés et dispositif d'administration d'une anesthésie spinale directement dans l'espace subarachnoïde d'un patient. L'un des procédés et dispositif utilise une aiguille spinale de petit gabarit pour pénétrer dans la paroi durale; l'autre utilise un cathéter (32) de petit gabarit à stylet interne (34) possédant une pointe non aiguisée (36) pour séparer les filaments de la paroi durale. Un introducteur (12) à extrémité arrondie (20) est également prévu pour guider et soutenir l'aiguille spinale ou le cathéter, quand une force leur est appliquée, pour les faire pénétrer dans la paroi durale.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP91503242A JPH05505733A (ja) | 1989-12-11 | 1990-12-11 | 麻酔誘発方法及び装置 |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US44832189A | 1989-12-11 | 1989-12-11 | |
US448,321 | 1989-12-11 |
Publications (1)
Publication Number | Publication Date |
---|---|
WO1991008785A1 true WO1991008785A1 (fr) | 1991-06-27 |
Family
ID=23779840
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US1990/007247 WO1991008785A1 (fr) | 1989-12-11 | 1990-12-11 | Procede et dispositif d'anesthesie |
Country Status (4)
Country | Link |
---|---|
US (1) | US5304141A (fr) |
JP (1) | JPH05505733A (fr) |
AU (1) | AU7140491A (fr) |
WO (1) | WO1991008785A1 (fr) |
Cited By (10)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE4128530A1 (de) * | 1991-08-28 | 1993-03-04 | Vygon Gmbh & Co Kg | Anaesthesiebesteck |
US5250035A (en) * | 1992-04-20 | 1993-10-05 | Abbott Laboratories | Cannula and stylet system |
US5263936A (en) * | 1991-01-30 | 1993-11-23 | Masaki Yurino | Continuous local anesthetization set |
WO1994004212A1 (fr) * | 1992-08-18 | 1994-03-03 | Georgescu Horia Dan | Dispositif pour proteger des catheters epiduraux des bords du biseau des aiguilles |
EP0608985A1 (fr) * | 1993-01-29 | 1994-08-03 | Becton, Dickinson and Company | Set comprenant un assemblage cathéter et aiguille, pour administrer des agents thérapeutiques dans l'espace subarachnoide |
EP0728495A2 (fr) * | 1995-01-25 | 1996-08-28 | Len Edwards Scrymgeour Carrie | Cathéter épidural |
US8202461B2 (en) | 2008-01-14 | 2012-06-19 | Custom Medical Applications, Inc. | Flow elements for use with flexible spinal needles, needle assemblies for manufacture and methods therefor |
US8287496B2 (en) | 2008-01-17 | 2012-10-16 | Custom Medical Applications, Inc. | Flow elements for use with flexible spinal needles, needle assemblies and methods therefor |
CN109939279A (zh) * | 2017-12-20 | 2019-06-28 | 柯惠有限合伙公司 | 用于抽吸胆汁的方法 |
WO2020152570A1 (fr) * | 2019-01-21 | 2020-07-30 | I.N.R.C.A. | Dispositif universel d'anesthésie rachidienne continue |
Families Citing this family (69)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5738650A (en) * | 1993-01-29 | 1998-04-14 | Becton, Dickinson And Company | Subarachnoid needle and method for administering therapeutic agents to the subarachnoid space |
US5833662A (en) * | 1995-01-19 | 1998-11-10 | Stevens; Robert C. | Hemostasis cannula system |
US5746720A (en) * | 1995-10-18 | 1998-05-05 | Stouder, Jr.; Albert E. | Method and apparatus for insertion of a cannula and trocar |
DE69719638T2 (de) * | 1996-08-16 | 2003-12-24 | Smiths Group Plc London | Nadelanordnung |
US5830188A (en) * | 1996-12-11 | 1998-11-03 | Board Of Regents, The University Of Texas System | Curved cannula for continuous spinal anesthesia |
US5938635A (en) * | 1996-12-30 | 1999-08-17 | Kuhle; William G. | Biopsy needle with flared tip |
US5865184A (en) * | 1997-01-13 | 1999-02-02 | Takiguchi; Tetsuo | Combined spinal and epidural anesthesia |
US7572263B2 (en) * | 1998-04-01 | 2009-08-11 | Arthrocare Corporation | High pressure applicator |
US6783515B1 (en) | 1999-09-30 | 2004-08-31 | Arthrocare Corporation | High pressure delivery system |
US6485475B1 (en) * | 2000-03-01 | 2002-11-26 | The Board Of Regents Of The University Texas System | Introducer needle for continuous perineural catheter placement |
US8611993B2 (en) * | 2000-03-13 | 2013-12-17 | Arrow International, Inc. | Pre-loaded lockable stimulating catheter for delivery of anaesthetic drugs |
US7386341B2 (en) * | 2000-03-13 | 2008-06-10 | Arrow International, Inc. | Instrument and method for delivery of anaesthetic drugs |
US6456874B1 (en) | 2000-03-13 | 2002-09-24 | Arrow International Inc. | Instrument for delivery of anaesthetic drug |
US20040015133A1 (en) * | 2000-05-31 | 2004-01-22 | Hussain Karim | Epidural apparatus |
US6558353B2 (en) * | 2001-01-25 | 2003-05-06 | Walter A. Zohmann | Spinal needle |
US7338514B2 (en) * | 2001-06-01 | 2008-03-04 | St. Jude Medical, Cardiology Division, Inc. | Closure devices, related delivery methods and tools, and related methods of use |
FR2835436B1 (fr) * | 2002-02-07 | 2004-11-26 | Georges Boussignac | Instrumentation pour analgesie, notamment peridurale |
DE10215191A1 (de) * | 2002-04-05 | 2003-10-16 | Pajunk Ohg Besitzverwaltung | Kanüle |
US6875219B2 (en) * | 2003-02-14 | 2005-04-05 | Yves P. Arramon | Bone access system |
US8333734B2 (en) * | 2003-07-03 | 2012-12-18 | Walter A. Zohmann | Fenestrated peripheral nerve block needle and method for using the same |
US20050090801A1 (en) * | 2003-10-27 | 2005-04-28 | Racz N. S. | Safety spinal catheter |
US20060064101A1 (en) * | 2004-02-12 | 2006-03-23 | Arthrocare Corporation | Bone access system |
US20060164913A1 (en) * | 2005-01-21 | 2006-07-27 | Arthrocare Corporation | Multi-chamber integrated mixing and delivery system |
US7803142B2 (en) | 2005-02-02 | 2010-09-28 | Summit Access Llc | Microtaper needle and method of use |
US20090157044A1 (en) * | 2005-08-26 | 2009-06-18 | Novodural Pty Ltd | Epidural administration systems |
US7957521B2 (en) * | 2005-11-30 | 2011-06-07 | On-Q Telecom Systems Co., Inc. | Method and system for user prioritization within telecommunication services and in particular within call completion services |
US9888940B2 (en) | 2006-09-11 | 2018-02-13 | Custom Medical Applications | Neural injection system and related methods |
US20080065029A1 (en) * | 2006-09-11 | 2008-03-13 | Racz N S | Nerve block needle and related methods |
US9480800B2 (en) | 2006-09-11 | 2016-11-01 | Custom Medical Applications | Neural injection system and related methods |
US8449503B2 (en) | 2010-11-30 | 2013-05-28 | Custom Medical Applications | Neural injection system and related methods |
US8377005B2 (en) | 2006-09-11 | 2013-02-19 | Custom Medical Applications | Neural injection system and related methods |
US20080306404A1 (en) * | 2006-10-10 | 2008-12-11 | Ronald Timothy R | Dual-passage biopsy needle device |
US20080221605A1 (en) * | 2007-01-26 | 2008-09-11 | Laurimed Llc | Cutting device positioned via control wire to perform selective discectomy |
US8088119B2 (en) * | 2007-02-01 | 2012-01-03 | Laurimed, Llc | Methods and devices for treating tissue |
US8690832B2 (en) | 2007-06-13 | 2014-04-08 | Custom Medical Applications | Retrofitted neural injection system and related methods |
WO2008157376A1 (fr) | 2007-06-13 | 2008-12-24 | Epimed International Inc. | Système d'injection neurale de sécurité et procédés associés |
US20090088789A1 (en) | 2007-09-28 | 2009-04-02 | O'neil Michael J | Balloon With Shape Control For Spinal Procedures |
CA2720452A1 (fr) * | 2008-04-02 | 2009-10-08 | Laurimed, Llc | Procedes et dispositifs pour administrer des injections |
US20090318892A1 (en) * | 2008-06-20 | 2009-12-24 | Maria Aboytes | Removable Core Implant Delivery Catheter |
US9168047B2 (en) * | 2009-04-02 | 2015-10-27 | John T. To | Minimally invasive discectomy |
US8298187B2 (en) | 2009-07-07 | 2012-10-30 | Cook Medical Technologies Llc | Fluid injection device |
US8685052B2 (en) | 2010-06-30 | 2014-04-01 | Laurimed, Llc | Devices and methods for cutting tissue |
BR112012033572A2 (pt) | 2010-06-30 | 2016-11-29 | Laurimed Llc | dispositivo de corte de tecido acionado a vácuo, método de corte e remoção do tecido de um indivíduo, método para realizar uma polipectomia, método para realizar uma discectomia e aparelho para raspagem de tecido em um indivíduo |
US9237925B2 (en) | 2011-04-22 | 2016-01-19 | Ablative Solutions, Inc. | Expandable catheter system for peri-ostial injection and muscle and nerve fiber ablation |
US8663190B2 (en) | 2011-04-22 | 2014-03-04 | Ablative Solutions, Inc. | Expandable catheter system for peri-ostial injection and muscle and nerve fiber ablation |
US20130053792A1 (en) | 2011-08-24 | 2013-02-28 | Ablative Solutions, Inc. | Expandable catheter system for vessel wall injection and muscle and nerve fiber ablation |
US9056185B2 (en) | 2011-08-24 | 2015-06-16 | Ablative Solutions, Inc. | Expandable catheter system for fluid injection into and deep to the wall of a blood vessel |
US9278196B2 (en) | 2011-08-24 | 2016-03-08 | Ablative Solutions, Inc. | Expandable catheter system for vessel wall injection and muscle and nerve fiber ablation |
US9770289B2 (en) | 2012-02-10 | 2017-09-26 | Myromed, Llc | Vacuum powered rotary devices and methods |
EP2633876B1 (fr) | 2012-03-02 | 2014-09-24 | Cook Medical Technologies LLC | Capuchon de dilatation pour dispositif endoluminal |
AU2013293613B2 (en) * | 2012-07-26 | 2017-10-12 | Agency For Science, Technology And Research | Vascular access device and guiding portion |
US10881458B2 (en) | 2012-10-29 | 2021-01-05 | Ablative Solutions, Inc. | Peri-vascular tissue ablation catheters |
US10945787B2 (en) | 2012-10-29 | 2021-03-16 | Ablative Solutions, Inc. | Peri-vascular tissue ablation catheters |
US10226278B2 (en) | 2012-10-29 | 2019-03-12 | Ablative Solutions, Inc. | Method for painless renal denervation using a peri-vascular tissue ablation catheter with support structures |
US9301795B2 (en) | 2012-10-29 | 2016-04-05 | Ablative Solutions, Inc. | Transvascular catheter for extravascular delivery |
US9526827B2 (en) | 2012-10-29 | 2016-12-27 | Ablative Solutions, Inc. | Peri-vascular tissue ablation catheter with support structures |
US9554849B2 (en) | 2012-10-29 | 2017-01-31 | Ablative Solutions, Inc. | Transvascular method of treating hypertension |
US10736656B2 (en) | 2012-10-29 | 2020-08-11 | Ablative Solutions | Method for painless renal denervation using a peri-vascular tissue ablation catheter with support structures |
EP2740422A1 (fr) | 2012-12-05 | 2014-06-11 | Custom Medical Applications | Système d'injection neurale de sécurité et procédés associés |
CA2846742C (fr) | 2013-03-15 | 2017-11-28 | Custom Medical Applications | Systeme d'injection neurale de securite et procedes associes |
US9931046B2 (en) | 2013-10-25 | 2018-04-03 | Ablative Solutions, Inc. | Intravascular catheter with peri-vascular nerve activity sensors |
US10517666B2 (en) | 2013-10-25 | 2019-12-31 | Ablative Solutions, Inc. | Apparatus for effective ablation and nerve sensing associated with denervation |
US9949652B2 (en) | 2013-10-25 | 2018-04-24 | Ablative Solutions, Inc. | Apparatus for effective ablation and nerve sensing associated with denervation |
US8815099B1 (en) | 2014-01-21 | 2014-08-26 | Laurimed, Llc | Devices and methods for filtering and/or collecting tissue |
WO2015168314A1 (fr) * | 2014-04-30 | 2015-11-05 | Ablative Solutions, Inc. | Cathéter d'ablation de tissu périvasculaire doté de structures de support |
CN104688303B (zh) * | 2015-02-15 | 2017-04-12 | 扬州市江洲医疗器械有限公司 | 无损伤硬膜外导管穿刺针 |
US10849685B2 (en) | 2018-07-18 | 2020-12-01 | Ablative Solutions, Inc. | Peri-vascular tissue access catheter with locking handle |
US11806069B2 (en) * | 2019-01-25 | 2023-11-07 | Warsaw Orthopedics, IN | Devices and methods for the diagnosis and treatment of discogenic back pain |
WO2021177888A1 (fr) * | 2020-03-04 | 2021-09-10 | Apriomed Ab | Aiguille de biopsie coaxiale avec stylet intégré et aiguille d'anesthésie agencée avec des moyens de verrouillage ayant des couples de libération prédéterminés et différents |
Citations (4)
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US4230123A (en) * | 1978-10-31 | 1980-10-28 | Hawkins Jr Irvin F | Needle sheath complex and process for decompression and biopsy |
US4479795A (en) * | 1979-06-29 | 1984-10-30 | The Procter & Gamble Company | Antimicrobial polymer compositions |
US4700694A (en) * | 1984-02-20 | 1987-10-20 | Olympus Optical Co., Ltd. | Endoscope means and ovum picker employed by inserting through endoscope means |
US4973312A (en) * | 1989-05-26 | 1990-11-27 | Andrew Daniel E | Method and system for inserting spinal catheters |
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US1527291A (en) * | 1923-07-09 | 1925-02-24 | Zorraquin Guillermo | Safety-pressure-indicating needle |
US3540447A (en) * | 1967-09-29 | 1970-11-17 | Becton Dickinson Co | Spinal needle |
US3565074A (en) * | 1969-04-24 | 1971-02-23 | Becton Dickinson Co | Indwelling arterial cannula assembly |
US3630198A (en) * | 1969-06-23 | 1971-12-28 | Henkin Melvyn Lane | Catheter placement device |
US3856009A (en) * | 1971-11-26 | 1974-12-24 | Johnson & Johnson | Catheter placement unit |
US3782381A (en) * | 1971-11-26 | 1974-01-01 | Johnson & Johnson | Method for preventing skiving of a catheter |
US3792703A (en) * | 1972-07-10 | 1974-02-19 | Deseret Pharma | Catheter placement unit |
US3780733A (en) * | 1972-07-24 | 1973-12-25 | Manzor M Martinez | Catheter |
US4737146A (en) * | 1979-12-25 | 1988-04-12 | Yoshikiyo Amaki | Multi-lumen epidural catheter |
SU897224A1 (ru) * | 1980-04-03 | 1982-01-15 | Всесоюзный Научно-Исследовательский Институт Физиологии,Биохимии И Питания Сельскохозяйственных Животных | Устройство дл пересадки эмбрионов крупного рогатого скота |
US4349023A (en) * | 1980-10-09 | 1982-09-14 | Abbott Laboratories | Epidural needle catheter and adapter |
DE3327585A1 (de) * | 1982-08-06 | 1984-02-09 | John Martin Oxford Evans | Chirurgisches instrument fuer die epidurale und spinale anaesthesie |
JPS60179057A (ja) * | 1984-02-28 | 1985-09-12 | 雪印乳業株式会社 | 腹腔鏡用受精卵移植三重針 |
US4650472A (en) * | 1985-08-30 | 1987-03-17 | Cook, Incorporated | Apparatus and method for effecting percutaneous catheterization of a blood vessel using a small gauge introducer needle |
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DE3680919D1 (de) * | 1986-10-09 | 1991-09-19 | Hakko Electric Machine Works C | Doppelnadel-set zum injizieren eines fluessigen medikaments. |
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US5085631A (en) * | 1988-08-02 | 1992-02-04 | Thomas Jefferson University | Method and kit for administering spinal subarachnoid anesthesia |
US5015238A (en) * | 1989-06-21 | 1991-05-14 | Becton, Dickinson And Company | Expandable obturator and catheter assembly including same |
-
1990
- 1990-12-11 WO PCT/US1990/007247 patent/WO1991008785A1/fr unknown
- 1990-12-11 AU AU71404/91A patent/AU7140491A/en not_active Abandoned
- 1990-12-11 JP JP91503242A patent/JPH05505733A/ja active Pending
- 1990-12-31 US US07/624,750 patent/US5304141A/en not_active Expired - Fee Related
Patent Citations (4)
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US4230123A (en) * | 1978-10-31 | 1980-10-28 | Hawkins Jr Irvin F | Needle sheath complex and process for decompression and biopsy |
US4479795A (en) * | 1979-06-29 | 1984-10-30 | The Procter & Gamble Company | Antimicrobial polymer compositions |
US4700694A (en) * | 1984-02-20 | 1987-10-20 | Olympus Optical Co., Ltd. | Endoscope means and ovum picker employed by inserting through endoscope means |
US4973312A (en) * | 1989-05-26 | 1990-11-27 | Andrew Daniel E | Method and system for inserting spinal catheters |
Cited By (13)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5263936A (en) * | 1991-01-30 | 1993-11-23 | Masaki Yurino | Continuous local anesthetization set |
DE4128530A1 (de) * | 1991-08-28 | 1993-03-04 | Vygon Gmbh & Co Kg | Anaesthesiebesteck |
US5250035A (en) * | 1992-04-20 | 1993-10-05 | Abbott Laboratories | Cannula and stylet system |
WO1994004212A1 (fr) * | 1992-08-18 | 1994-03-03 | Georgescu Horia Dan | Dispositif pour proteger des catheters epiduraux des bords du biseau des aiguilles |
EP0608985A1 (fr) * | 1993-01-29 | 1994-08-03 | Becton, Dickinson and Company | Set comprenant un assemblage cathéter et aiguille, pour administrer des agents thérapeutiques dans l'espace subarachnoide |
US5470318A (en) * | 1993-01-29 | 1995-11-28 | Becton, Dickinson And Company | Catheter/needle assembly kit and method for administering therapeutic agents to the subarachnoid space |
EP0728495A2 (fr) * | 1995-01-25 | 1996-08-28 | Len Edwards Scrymgeour Carrie | Cathéter épidural |
EP0728495A3 (fr) * | 1995-01-25 | 1999-04-28 | Len Edwards Scrymgeour Carrie | Cathéter épidural |
US8202461B2 (en) | 2008-01-14 | 2012-06-19 | Custom Medical Applications, Inc. | Flow elements for use with flexible spinal needles, needle assemblies for manufacture and methods therefor |
US8287496B2 (en) | 2008-01-17 | 2012-10-16 | Custom Medical Applications, Inc. | Flow elements for use with flexible spinal needles, needle assemblies and methods therefor |
US8298208B2 (en) | 2008-01-17 | 2012-10-30 | Custom Medical Applications, Inc. | Flow elements for use with flexible spinal needles, needle assemblies and methods therefor |
CN109939279A (zh) * | 2017-12-20 | 2019-06-28 | 柯惠有限合伙公司 | 用于抽吸胆汁的方法 |
WO2020152570A1 (fr) * | 2019-01-21 | 2020-07-30 | I.N.R.C.A. | Dispositif universel d'anesthésie rachidienne continue |
Also Published As
Publication number | Publication date |
---|---|
AU7140491A (en) | 1991-07-18 |
JPH05505733A (ja) | 1993-08-26 |
US5304141A (en) | 1994-04-19 |
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